Credentialing
A&R works with physicians and medical practitioners to ensure they are appropriately credentialed and approved with insurance companies, enabling them to submit claims for processing. The credentialing function A&R performs on behalf of its clients allows providers to ensure their eligibility within a given payor network to submit and process claims.
A&R acts as a liaison between physicians, medical practices and insurance companies to manage the entire credentialing process. A&R has established long-term relationships and a presence among a variety of insurance representatives that aid in expediting the credentialing process.
A&R also handles credentialing with the Council for Affordable Quality Healthcare (CAQH), a non-profit alliance of health plans and trade associations that acts as a catalyst for industry collaboration on initiatives that simplify healthcare administration. CAQH solutions promote quality interactions between plans, providers and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange and encourage administrative and clinical data integration.
A&R’s enrollment services are best in class. We make sure you are ready to get treating as soon as possible. A&R handles all initial enrollment, credentialing, and maintenance of each physician’s profile with the nations largest insurers and government agencies such as Medicaid and Medicare. Best of all, as an A&R client our enrollment services are free of charge.
Our enrollment process includes:
- Medicare & Medicaid
- Blue Cross / Blue Shield
- Health Partners
- Aetna
- Bravo
- Keystone Mercy
- Keystone Health Plan East
- Humana
- Horizon
- Highmark
- Coventry
- Many More
